Organization
CCM MASSAGE THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GERLING-LMT (OWNER/MASSAGE THERAPIST)
(262) 684-9466
Entity
Organization
Contact information
Practice address
606 COUNTRY LN, TWIN LAKES, WI 53181-9502
(262) 684-9466
(262) 279-2214
Mailing address
PO BOX 878, TWIN LAKES, WI 53181-0878
(262) 684-9466
(262) 279-2214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720647803
—
WI
05
—
1912515974
—
WI
Enumeration date
07/16/2020
Last updated
09/09/2022
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